Individual
MRS. LARISSA PEARL PRESTADO CLAVILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 MAIN ST, WOODWARD, OK 73801-3021
(580) 254-8192
(580) 254-8687
Mailing address
1416 26TH ST, WOODWARD, OK 73801-4122
(580) 254-8192
(580) 254-8687
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
228654
OK
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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